How to Clean a Linear Wound

The purpose of wound cleansing is to remove and loosen debris and contaminants from the wound bed. Method and cleaning solution will vary based on the type of wound. However, normal saline is most frequently used.

Clean aseptic teqnique should be used unless otherwise indicated. For linear wound incisions, pour irrigation solution into irrigation tray. Moisten 4X4s in solution and squeeze out excess. Solution should be at room temperature.

Gently wipe wound from top to bottom in one motion, starting directly over the wound. Discard the used 4X4. Using a new moistened 4X4, repeat cleaning with gentle downward stroke parallel to the incision. Repeat steps, working outward from the incision lines, parallel to the incision.

Remember to use a new 4X4 for each downward stroke. If needed, dry the wound following the same procedure as for cleaning. Use dry gauze pads.